Brussels Sprouts, Breast Pumps, and Blessing Ways

It has been awhile since I last posted. Thanksgiving has come and gone, and we are now well on our way into the Christmas season.

Pidge is working on understanding the concept of “holiday.” Her first real association with the word happened around Halloween. She has a book, Clifford’s Halloween, in which the main character, Emily Elizabeth, outlines all the holidays and proudly proclaims that Halloween is her favorite. Pidge loves that book, and we read it to her often (albeit with some modifications to better align with our values). Consequently, Pidge was adamant that she dress up as Clifford for Halloween. As we had already put together her costume, we held off, hoping she would change her mind. But she never did. She held fast to her desire to be Clifford, and a few days before Halloween I found myself scrambling to transform my 2-year-old into America’s most beloved big red dog. The venture was successful, and Pidge was the cutest puppy I have ever seen.

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When Thanksgiving rolled around, Pidge could not understand how it too was a holiday. Halloween was the holiday, right? We tried to explain how holidays are special days we set aside to engage in various traditions. Of course, there are some holidays where traditions have been modified to fit our lifestyle, and Thanksgiving is one of them. We no longer tell or celebrate the fictive account of pilgrims and “Indians” that whitewashes the horrors inflicted on indigenous peoples by colonizers. We do not center our meal around a dead turkey. Instead, we recognize the history of the land we occupy, we engage in the practice of acknowledging our blessings and giving thanks, and we spend time together as a family.

One way we spend time together on Thanksgiving is by cooking together. This year, we enjoyed a large meal consisting of a Tofurkey roast (cooked to perfection), mashed potatoes and gravy, homemade stuffing, brussels sprouts, and crescent rolls. For dessert we prepared a vegan cheesecake and we washed it all down with sparkling cider.

We make it a point to actively engage Pidge in everything we do, including food prep and cooking. Pidge was the best kitchen helper. She donned her new apron and chef’s hat and meticulously scrubbed and peeled potatoes. She practiced her knife skills by dicing and chopping, preparing the vegetables for the stuffing. Pidge helped me cut and peel the brussels sprouts. Her little brow furrowed as she concentrated on each task, working hard to do it just right. We loved spending this time with her and watching her beam with a sense of pride and accomplishment. Between prepping, Pidge and Mama danced around the kitchen, Pidge squealing with delight and shouting, “Happy Gives-Thanking!” over and over.

We sat down to dinner and fully expected Pidge to zero in on the crescent roll, forsaking all the nutrition on her plate. Much to our surprise and delight, Pidge’s favorite item on her plate was her brussels sprouts! She left portions of the roll and potatoes, but came back for seconds on brussels sprouts. Hooray for a vegan kid who loves her greens!

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Now we’re on to preparing for Christmas, and for that next big adventure. . . baby #2! We decided we want to co-nurse this baby, just like we did with Pidge. Consequently, my wife had begun the process of inducing lactation since, despite Pidge still enjoying the occasional comfort nursing session, neither she nor I are producing milk at this time. As a key part of the process, my wife has begun setting herself up to a breast pump multiple times per day. We were unsure how Pidge would react to this process, but she is fascinated. She watches my wife closely, helps adjust the flanges, and looks for milk. She will often remind my wife that it’s time to pump, running over to her while holding flanges and saying, “Mama! Breast pump!” Pidge knows that Mama is working to make milk for her little sister’s arrival and her enthusiasm around the process is beyond adorable.

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Another way we have been preparing for our next baby’s arrival is by working with the same midwives who helped us through Pidge’s birth. Initially, I had been unsure whether I wanted to use the services of home birth midwives. I was drawn to the idea, partly because of how wonderful our previous birth experience was. However, I was also nervous. My family has a history of C-sections, the nurses at the hospital have been consistently telling me I’m high risk because of my age, and my previous miscarriage made this whole pregnancy feel fragile. That said, the reality is that this entire pregnancy has been overwhelmingly normal. Aside from some of my digestive problems, everything has been progressing normally and there have not been any complications. The more I thought about it, the more I wanted to take my prenatal care and birth into my own hands. I was tired of what seemed like the endless search for pathology that the hospital was engaging in, and I was ready to embrace more holistic care. So here I am, back in the care of our home birth midwives, planning my own home birth (with back-up plans, of course). I am a little hesitant, but I am also excited and I feel so incredibly supported by this medical team.

Where I don’t feel as much support is in my community. I think that part of this is because I’m somewhere between thinking and feeling, left-brained and right-brained, emotional and logical. If I could get with the whole woo-woo sacred birth concept, I would find support there. Conversely, if I was more clinical and less attuned to the emotional nature of bringing new life into the world, I could find companionship in that shared experience. But I am in the middle. I don’t want a traditional Blessing Way and we don’t need a baby shower, but I do want intention around this experience, and I want other people to acknowledge the specialness of giving birth. We’ve decided to create our own version of what I want/need. Our plan, as of now, is to invite friends over to celebrate the upcoming birth of this baby. We will put out a bowl of beads and each friend will choose a bead and write down a good intention either for me or for the baby. Then, we will string all the beads together into a bracelet, which I can wear while giving birth and later give to our daughter. We will also provide guests with tea lights, which they can light when I go into labor. I hope that isn’t self-indulgent. I think it sounds nice.

We are going to need some good intentions, because I start a new job in January. Honestly, it is a dream job. I was hired at a law school to teach family law and also to serve as a staff attorney in the legal clinic, representing children. I am very excited about it. Unfortunately, it also comes with an hour and a half commute each way and I will be starting the job about 6 weeks before my due date. I am nervous about going into labor far away from home with Vermont’s notoriously hazardous winter conditions. I am also worried about the sustainability of such a long commute, but we can move. Perhaps that’s what our future holds: Brussels sprouts, breast pumps, Blessing Ways, babies, and relocation. In other words, beautiful new beginnings.

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Dear Baby

Dear Baby,

Let me start by saying that you are my world. My sun rises and sets with you. You bring me such joy. Because I am working full-time, I don’t get to spend as much time with you as I’d like, but when I do, it’s so sweet.

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I love waking up next to you each morning. You usually wake me up to nurse shortly before my alarm goes off at 5:30 AM. You make a little searching noise and I know that it’s me you want. I roll on my side and you nurse. Sometimes you coo and grunt while you’re nursing. I feel your tiny little legs kick, kick, kick me under the sheets. Not hard, but rather it’s as if your body is saying, “Oh, yeah. That’s the good stuff.”

I hear the buzzing of my alarm and I roll out of bed, careful not to wake you. I go through my daily routine — turn on the heat, start the coffee, put away the dishes, clean the cat litter, shower, pump. I wait for you to come down.

I hear footsteps on the stairs and know that it’s Mama. You’re in her arms, bright as a shiny new penny. You look at me with your open little face. Sometimes you give me a big smile. Other times you’re sleepier, staring at me glassy-eyed. Your mama hands you over to me and I melt. We snuggle for a bit and then I put you on your little potty to do your business. You baby-talk and bounce. We tie up your footie jammies in the back and it looks like your donning butterfly wings.

Then we play. We sit together on your rug and play with your book, your stacker, or any other toy. Sometimes you just roll around. I smile and stare into your perfect face, telling you over and over again how much I love you. Sometimes I cry when I have to go to work. Leaving you is really hard.

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But you are there, in my office. Your face adorns my walls and your smile is framed on my desk.

At 5:30 PM, I rush home to be with you. Mama is usually cooking dinner and you’re hanging out in your swing or on your play mat on the floor. Sometimes you give me a big smile but usually you just look up at me like, “Oh, it’s you. You’re supposed to be here.”

I scoop you up and we go upstairs so that I can change out of my work clothes. You sit on the bed and watch me. Once I’ve changed, I bound on the bed. You giggle. I kiss you all over and blow on your tummy. You squeal with delight. I kiss underneath your chin and you chuckle, “heh-heh-heh.” You smile so big that I can see all of your gums and the two small teeth you have on the bottom. After we’ve played, you nurse.

We eat together. I love watching you try out new foods. So far you’re a lot like me — you like things that are saucy. You like to suck the sauce out of broccoli. You like scooping up noodles or rice and slurping out the sauce. You’ve been surprisingly adventurous about spice, but if something is too spicy, you’ll hold your arms straight out to the side and shriek. You’re very good about communicating how you feel about things.

Most nights, we give you a bath before bed. You used to bathe with me but now you’re big enough to sit up in the tub on your own. You splash and play in the water. You like playing with a ping pong ball and with a cup. You watch that ball and you follow its movements in the water. Then you reach hard and grab it, so proud of yourself.

We head upstairs for bed. Mama has gotten everything ready, from your diaper to the sound effects to the twinkly rainbow lights above your bed. I tuck you in and you instinctively roll toward me. We nurse and snuggle and eventually you fall asleep. I kiss your little head and whisper softly, “Sweet dreams, my precious one.”

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Months One, Two, and Three

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The days immediately following the birth were intense. I was manic, high from the adrenaline rush of the birth, from precious little sleep, and from never seeming to be able to find time to eat. My wife was recovering from a tear and she had been given strict instructions from our midwives to rest. I ran around cleaning the house. Wiping counters, scrubbing dishes, sweeping floors. I couldn’t help myself. In between tasks, I would snuggle Baby, sing and dance with her to Bob Dylan (“How does it FEEEEEEL”), stare at her sweet face, and bring my wife food, water, and tea.

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Our friends put together a meal train, each bringing us food every few days. We enjoyed homemade spring rolls, chili, kale salad, ratatouille, sweet potato tacos, and hot falafel. We felt so cared for; so loved.

 

I will never forget the first time we put Baby to my breast. Baby had been alive less than 24 hours when my wife asked, “Do you want to nurse her?” I was overjoyed. After nearly seven weeks of pumping every three hours, this was my reward. I held Baby to me and smiled as I watched her shake her head around and grunt while sniffing out the nipple. Then she latched – heaven! This is what I was meant to do.

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My wife and I took turns nursing Baby. We had my wife do most of the nursing at first – we wanted Baby to get the colostrum and we wanted to make sure my wife established a good milk supply. As the days progressed, I nursed her more and more. It felt like magic.

With each passing day, we learned more about Baby. First lesson: she hates being swaddled. Okay. Lesson two: she loves bath time. Wonderful!

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We took her outside and showed her the backyard. We took her on walks through the neighborhood. We took her to our local farm to pick up veggies and learned that two goats shared her birthday. We took her to watch the sunset at a nearby lake.

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My wife’s parents came to visit Labor Day week. They were thrilled to meet their first grandchild. Baby enjoyed having two new bodies on which to sleep, and we enjoyed spending time with my wife’s parents. We strolled through our hometown and checked out the Massachusetts Museum of Contemporary Art.

 

We began cloth diapering when Baby was around three weeks old. I thought it would be difficult, but it turns out that for us it is just as easy as using paper. Once we switched, Baby no longer got diaper rashes. We also felt good about reducing the amount of trash we produced for the landfill. Today, we’re doing a combination of cloth diapers and Elimination Communication, working hard to pay attention to Baby’s cues and respond accordingly.

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We celebrated Baby’s one month birthday in Maine, hiking Acadia National Park. I carried her the entire time. I have always loved hiking, but it was even more special to be able to hike through gorgeous terrain while simultaneously hugging my daughter.

 

During the second month, Baby began to smile and respond to our voices, which was just precious. We would call her name and her face would light up with joy. Baby’s eyes became brighter; we loved engaging with her.

However, while our second month with Baby included more sweetness, it also brought more challenges. I returned to work, which was outrageously difficult. I cried hard for several days. I had always thought of myself as a person who liked to work; who would want to work over staying home with a child. The pull of Baby changed that, and walking away from Baby each morning feels like someone is stabbing my heart.

My wife’s face remains paralyzed. We haven’t seen any improvement since it first happened. By this time, we’ve seen a variety of doctors and a naturopath. She was being treated for Lyme, even though we had already had three negative Lyme tests. Eventually, a new diagnosis appeared: Ramsay Hunt Syndrome (RHS). A complication of a Shingles reactivation, RHS facial paralysis can be permanent. We made an appointment with a neurologist who confirmed that my wife’s facial paralysis was severe – she may never regain function of her face. We are devastated.

To make matters worse, my wife’s breastmilk supply began to dwindle. It may have been due to stress or due to allowing me to feed Baby too much. We decided to make a breastfeeding schedule and my wife decided to add pumping into her daily routine. Now a month into these changes, I am happy to report that they are working.

Shortly before Baby’s two-month birthday, Baby’s cousin was born. My wife’s brother and sister-in-law had a little girl. And all that jealousy that I had previously harbored disappeared. I was instantly in love with my new niece.

We celebrated Baby’s second month in San Francisco. We flew out west for my brother’s wedding, and Baby did great on the plane. My brother and his wife were thrilled at the opportunity to meet Baby, and took to her right away. My parents, who also live out west, were able to meet Baby, too. Of course, everyone adored her – how can you not?

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We spent some time at my parents’ house, where my sister and her boys also got to know Baby. My nephews are 9 and 7 years old, and they adored Baby! I thought for sure the novelty would wear off, but it did not. They would get up early with Baby each morning and coo to her as she rolled around on a blanket. The 9-year-old would rock Baby gently in a swing and sing her songs. Baby even went swimming in my parents’ pool!

 

Baby accompanied the boys to their Fall Festival, where she rocked her pumpkin outfit from Nana as well as her California shades.

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Today Baby is twelve weeks old and officially out of her fourth trimester. In a way, that seems appropriate. I feel as though I have known her my entire life. In another sense, time has flown by. Baby grows and changes with each passing day and somehow, in spite of all logic and reasoning, I love her more every minute.

 

 

 

 

 

Inducing Lactation: It’s Working.

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As I’ve written about previously, I’m currently in the process of inducing lactation. I’m following the accelerated Newman-Goldfarb method, and I’m excited to announce that it is working!

Early on in my wife’s pregnancy, I had no idea that inducing lactation or co-nursing were possibilities. Like pregnancy, I thought breastfeeding was going to be exclusively her domain. I had been struggling with my lack of connection to this baby when our midwives mentioned that my body could do something many male bodies cannot – I can produce breastmilk.

I picked up the book Breastfeeding Without Birthing to learn more. I learned that inducing lactation is possible. I can be a supplementary food source to my child (or even a primary food source), and I can achieve that closeness, attachment, and bonding that comes from breastfeeding. Furthermore, as ethical vegans it is very important to my wife and I that we supply Baby with vegan breastmilk. Having two potential sources of milk increases the likelihood that Baby will be exclusively breastfed.

The first step in the accelerated protocol is to take birth control for at least a month. Birth control pills mimic pregnancy hormones and stimulate breast tissue growth. I got my birth control from Planned Parenthood, and I took only active pills for about five weeks. I also took Goat’s Rue, an herb that promotes lactation. I ordered a breast pump through my insurance. As those five weeks progressed, I noticed significant enlargement in my breasts. On one hot day, I even found myself leaking colostrum!

After five weeks, I stopped the birth control and started pumping. I pumped every three to five hours, even in the middle of the night. I also introduced galactogogues, such as Fenugreek and Blessed Thistle. Domperidone is also a commonly consumed glactogogue for those inducing lactation, but it is only available in the States through compounding pharmacies. I drank copious amounts of water and made sure my diet included oatmeal and Brewer’s Yeast.

The First Week

Day 1 Thursday, 6/29/17 Pumped for 30 minutes each time on high setting, clear droplets formed on the tips of my nipples.
Day 2 Friday, 6/30/17 Pumped for 30 minutes each time on high setting, clear droplets formed on the tips of my nipples, slight white mixed in with the clear. Started to get sore.
Day 3 Saturday, 7/1/17 Pumped for 30 minutes each time, started with gentler setting and progressed to higher setting over the course of the pumping, very small amount of milk produced, not very white. Very sore.
Day 4 Sunday, 7/2/17 Pumped for 30 minutes each time, started with gentler setting and progressed to higher setting over the course of the pumping. Produced approximately 1/8 ounce in the morning, 1/3 ounce in the evening. Very white. My wife said, “It smells like milk!” Began saving (freezing) production. Got a bad blister on my areola. Ouch!
Day 5 Monday, 7/3/17 Pumped for 30 minutes each time, started with gentler setting and progressed to higher setting over the course of the pumping. Produced approximately 1/3 ounce in the morning, 1/2 ounce in the evening, and 1/2 ounce at night. Ordered a smaller flange size.
Day 6 Tuesday, 7/4/17 Pumped for 30 minutes each time, started with gentler setting and progressed to higher setting over the course of the pumping. Produced approximately 1/2 ounce every time. Started to feel like I needed to pump if I went too long in between pumping sessions. Started to feel less sore. My breasts filled up and I had to go pump after watching a friend’s baby nurse.
Day 7 Wednesday, 7/5/17 Pumped for 30 minutes each time, started with gentler setting and progressed to higher setting over the course of the pumping. Produced approximately 1/2 ounce every time. Milk flow moved from drops to spray!

Shortly after my first week, I began to chart my pumping and production amounts.

Early Pumping Schedule

We are still about four weeks away from my wife’s due date, and already we have over 40 ounces of breastmilk in our freezer. This process is exhausting, but I hope it will be worth it. I cannot wait for the day I’m actually nursing Baby!

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Planned Parenthood

On Friday I went to my local Planned Parenthood. Aside from the one time I stopped in to get pamphlets while staging a protest against some anti-choice people who had paraded onto my college campus, I had never been to Planned Parenthood before. I had certainly never been inside as a patient. But there I was, seeking birth control as part of the Newman-Goldfarb method for inducing lactation. I was nervous. What if they thought it was weird? What if they wouldn’t give the birth control to me? I tried to remind myself that I am a strong, capable, responsible woman in her mid-thirties exercising my right to reproductive medical care. I tried to remind myself that I had nothing to be nervous about! I tried, but I was not very successful.

The office was quiet, but friendly. A woman behind a desk handed me a clipboard and some papers.

“Fill these out,” she said.

I took a pen and sat down next to a big bowl of condoms and a book titled Dear Planned Parenthood: Love Letters from Catholics. I filled in all the highlighted sections of my form and handed it in.

“Thanks!” the woman said cheerfully. “Have a seat and we’ll call your name when we’re ready.”

I walked back over to my condom-side chair. I flipped through the book. Another woman walked in through the front door. Bounded, really. She had short, choppy hair with blue streaks in it.

“First time?” she asked. I thought I was playing it cool, but I guess my naivety showed.

“Yeah.”

“Don’t even sweat it!” she exclaimed, then bounced off to chit-chat with the ladies behind the counter.

Just then, a woman with dreadlocks appeared and called my name. I grabbed my things, stood up, and followed her. She told me she needed a urine sample and sent me to a room. When I reemerged, she took me down a hall to another office room.

She smiled and introduced herself. “I’m just going to ask you a few questions,” she explained. “First, what brings you in here today?”

“I’d like some birth control,” I told her, nervously.

“Okay – what kind do you want?”

“The pills.”

“Sure, sure,” she said. This was routine for her. She clicked through a few boxes and asked me a bit about my medical history. I answered more shyly than I expected as I stared at a poster on the wall covered in giant letters stating WE ALL DO IT. Two sets of legs, male and female, tangled with each other through the O.

“Are you currently having sex?” she asked.

“Yes.” But not the kind on that poster, I thought.

“What kind of birth control are you on now?”

“None.”

“Oh.” There was a long silence.

“My partner is a woman.”

“Oh, okay!” she said, clearly relieved. “But wait – do you have more than one partner? A male partner, perhaps?”

“No.”

There was another long silence.

“I’m sorry, but can I ask you something?” she looked at me, puzzled. “Why do you want birth control?”

“My partner is pregnant,” I explained. “We want to co-nurse. I’m following a protocol to induce lactation, and this is the first step.”

“WHAT?!” A huge smile spread across the woman’s face. “That is AMAZING! I didn’t even know you could DO that! Oh, this is so exciting!”

Her excitement put me at ease. “Yes!” I said, fears and nervousness suspended. “It is exciting.”

“Oh, gosh. Okay. I’m going to go get the doctor!” the woman sprang out of her chair and rushed out the door, her smile still hanging in the air.

A few moments later, the doctor walked in. She had short hair and cute glasses. She wore big pink earrings that were in the shape of either flowers or vaginas. Very Georgia O’Keefe.

“How’s our most exciting patient?” she asked. I smiled back at her. She talked to me for a bit about the protocol and searched her database for the best choice. She showed me how the clicking circle birth control dispenser worked and explained when to take each pill. She told me that I might feel a little ill at first. She packed up my pills, tucked them into a white paper bag, and sent me on my way.

The women behind the desk waved and smiled. “Good luck!” one shouted. Another clasped her hands beneath her chin.